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niacin laropiprant simvastatin

Phase 3

Primary Hypercholesterolemia | Small molecule | Cardiovascular |Merck & Company, Inc.|Trials Updated: Apr 7, 2017

niacin laropiprant simvastatin target and mechanism

ModalitySmall molecule

Also known as MK0524B

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials2
Total Enrollment1,620

FDA Designations

No designations recorded

niacin laropiprant simvastatin clinical trials

niacin laropiprant simvastatin · 2 trials · 3 indications

Phase 3 1Phase 1 1
NCT00269217Lipid Efficacy Study (0524B-022)(COMPLETED)Primary Hypercholesterolemia
COMPLETED1,400 Analytics
PHASE3COMPLETED
Lipid Efficacy Study (0524B-022)(COMPLETED)
Primary HypercholesterolemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Coadministered MK0524B will be more efficacious in reducing LDL-C concentrations compared to MK0524A.
Plasma Area Under the Curve (AUC(0 to 48hr)) for Simvastatin Acid
Through 48 Hours Post Dose

Plasma Area Under the Curve of simvastatin acid, the active metabolite of simvastatin

Peak Plasma Concentration (Cmax) of Simvastatin Acid
48 Hours Post Dose

Peak Plasma Concentration (Cmax) for Simvastatin Acid, the active metabolite of simvastatin

Plasma Area Under the Curve (AUC(0 to 48 Hour)) for Simvastatin
Through 48 Hours Post Dose

Plasma Area Under the Curve of simvastatin

Peak Plasma Concentration (Cmax) of Simvastatin
48 Hours Post Dose
Plasma Area Under the Curve (AUC(0 to Infinity)) for Laropiprant
48 Hours Post Dose

Plasma Area Under the Curve of Laropiprant

Peak Plasma Concentration (Cmax) of Laropiprant
48 Hours Post Dose
Peak Plasma Concentration (Cmax) of Nicotinuric Acid
24 Hours Post Dose

Peak Plasma Concentration (Cmax) for Nicotinuric Acid, one of the active metabolites of Niacin

Total Urinary Excretion of Niacin and Its Metabolites
96 Hours Post Dose

Secondary Endpoints

Coadministered MK0524B will have a greater effect on HDL-C, TG, LDL-C, LDL-C:HDL-C, non-HDL-C, Apo B, and Apo A-I than simvastatin.
Coadministered MK0524B will have a greater effect on HDL-C, TG, LDL-C:HDL-C, non-HDL-C, Apo B, and Apo A-I than MK0524A.
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MK0524B then Simvastatin + MK0524AEXPERIMENTALPeriod 1: 1 tablet of MK0524B (ER niacin 900 mg/ laropiprant 20 mg/ simvastatin 20 mg). Period 2: 1 tablet of simvastatin 20 mg (Zocor™) and 1 tablet of MK0524A (ER niacin 1000 mg/ laropiprant 20 mg) as separate tablets.
Simvastatin + MK0524A then MK0524BEXPERIMENTALPeriod 1: 1 tablet of simvastatin 20 mg (Zocor™) and 1 tablet of MK0524A (ER niacin 1000 mg/ laropiprant 20 mg) as separate tablets. Period 2: 1 tablet of MK0524B (ER niacin 900 mg/ laropiprant 20 mg/ simvastatin 20 mg).

Interventions

NameTypeDescription
niacin (+) laropiprant (+) simvastatinDRUGDuration of Treatment 12 Weeks
Comparator: niacin (+) laropiprantDRUGDuration of Treatment 12 Weeks
Comparator: simvastatinDRUGDuration of Treatment 12 Weeks
MK0524B (ER niacin (+) laropiprant (+) simvastatin)DRUGSingle dose of MK0524B (ER niacin 900 mg/ laropiprant 20 mg/ simvastatin 20 mg) in one of two treatment periods.
MK0524A (ER niacin + laropiprant)DRUGSingle dose of MK0524A (ER niacin 1000 mg/ laropiprant 20 mg) in one of two treatment periods.
SimvastatinDRUGSingle dose simvastatin (Zocor™) 20 mg in one of two treatment periods.
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patients 18 to 85 years of age with primary hypercholesterolemia or mixed hyperlipidemia * LDL-C between 130 and 190 mg/L (Category I) and 130 and 160 mg/L (Category II) and triglycerides \</= 350 mg/dL. Exclusion Criteria: * A condition which, in the opinion of the investig...

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Frequently asked questions about niacin laropiprant simvastatin

What is niacin laropiprant simvastatin?

Niacin laropiprant simvastatin is an investigational oral small molecule combination therapy developed by Merck & Company, Inc. (MRK) for primary hypercholesterolemia. It combines three active components into a single fixed-dose product intended to lower cholesterol. The combination was studied in a Phase 3 clinical program and is not described as approved.

What is niacin laropiprant simvastatin used for?

Niacin laropiprant simvastatin was developed for the treatment of primary hypercholesterolemia, a condition of elevated cholesterol in the blood. The Phase 3 trial also enrolled patients with mixed hyperlipidemia. It is a cardiovascular-directed lipid-modifying combination therapy rather than a treatment for an acute condition.

Who makes niacin laropiprant simvastatin?

Merck & Company, Inc., which trades under the ticker MRK, is the developer of niacin laropiprant simvastatin. Merck sponsored the Phase 3 lipid efficacy study of the combination. No other developer or partner is associated with the asset in the available record.

What phase is niacin laropiprant simvastatin in?

Niacin laropiprant simvastatin reached Phase 3 clinical development. One Phase 3 trial has been completed, and no trials are currently active. The program is therefore an investigational combination that has finished its recorded late-stage study rather than a marketed product.

What clinical trials is niacin laropiprant simvastatin in?

Niacin laropiprant simvastatin was studied in the Phase 3 Lipid Efficacy Study (0524B-022), registered as NCT00269217. That trial is completed and enrolled 1,400 participants aged 18 years and older of all sexes. It was randomized and double blind, with an uncontrolled design, and enrolled patients with primary hypercholesterolemia and mixed hyperlipidemia.